Name of Employer :

Financial Year :

Status of Employer : Domestic Company

Nature of Business :

Item of Expenditure Nature of Business Value Quarter 1 (April - June)

Expenditure (Rs.)

Total

1 100%

2 Employer’s contribution to superannuation fund 100%

3 Entertainment 100%

4 Others 20%

5 20%

6 Sales promotion including publicity (See Note 8) 20% 234,413

7 Employees’ welfare (See Note 9) 20% 70,942

8 5% 242,727

9 Use of hotel, boarding and lodging facilities 5%

10 Others 20% 128,936

11 Others 20%

12 20% 38,593

13 20%

14 Festival celebrations 50%

15 Use of health club and similar facilities. 50%

16 Use of other club facilities 50%

17 Gifts 50%

18 Scholarships 50%

Total Fringe Benefits

Fringe Benefits Tax 30%Add: Surcharge 10.0%Total

3%Total FBT Payable

S.No.

Free or concessional ticket provided by employer for private journeys of its employees or their family members (See Note 5)

Provision of hospitality of every kind by the employer to any person (See Note 6)Conference including expenditure on conveyance, tour and travel hotel, or boarding and lodging (See Note 7)

Conveyance, tour and travel (including foreign travel)

Manufacture/Production of

Pharmaceuticals

Manufacture/Production of

PharmaceuticalsRepair, running (including fuel), maintenance of motor cars and depreciation thereonRepair, running (including fuel), maintenance of aircrafts and depreciation thereonUse of telephone including Mobile Phone excluding Leased LinesMaintenance of guest house other than accommodation used for training purposes

Add: Education Cess

Quarter 1 (April - June)

Expenditure (Rs.) Value of FB

Net (Rs.)

- - -

- - -

- - -

- - -

- - -

- 234,413 46,883

- 70,942 14,188

- 242,727 12,136

- - -

- 128,936 25,787

- - -

- 38,593 7,719

- - -

- - -

- - -

- - - 106293

- - -

- -

106,713.15

32,013.953,201.39

35,215.341,056.46

36,271.80

Less : Exemp

t

Name of Employer :

Financial Year :

Status of Employer : Domestic Company

Nature of Business :

Item of Expenditure Value Quarter 2 (July - September)

Expenditure (Rs.) Value of FB

Total Net (Rs.)

1 100% - -

2 100% - -

3 Entertainment 20% - -

4 Others 20% - -

5 20% - -

6 20% 182,943 182,943 36,589

7 Employees’ welfare (See Note 9) 20% 50,072 50,072 10,014

8 5% 349,138 349,138 17,457

9 Use of hotel, boarding and lodging facilities 5% - -

10 Others 20% 161,162 161,162 32,232

11 Others 20% - -

12 20% 70,796 70,796 14,159

S.No.

Nature of Business

Less : Exemp

tFree or concessional ticket provided by employer for private journeys of its employees or their family members (See Note 5)Employer’s contribution to superannuation fund

Provision of hospitality of every kind by the employer to any person (See Note 6)Conference including expenditure on conveyance, tour and travel hotel, or boarding and lodging (See Note 7)Sales promotion including publicity (See Note 8)

Conveyance, tour and travel (including foreign travel)

Manufacture/Production of

Pharmaceuticals

Manufacture/Production of

Pharmaceuticals

Repair, running (including fuel), maintenance of motor cars and depreciation thereon

Repair, running (including fuel), maintenance of aircrafts and depreciation thereon

Use of telephone including Mobile Phone excluding Leased Lines

13 20% - -

14 Festival celebrations 50% - -

15 Use of health club and similar facilities. 50% - -

16 Use of other club facilities 50% - -

17 Gifts 50% - -

18 Scholarships 50% - -

Total Fringe Benefits 110,451.50

Fringe Benefits Tax 30% 33,135.45Add: Surcharge 10.0% 3,313.55Total 36,448.99Add: Education Cess 3% 1,093.47

Total FBT Payable 37,542.46

Maintenance of guest house other than accommodation used for training purposes

Name of Employer :

Financial Year :

Status of Employer : Domestic Company

Nature of Business :

S.No. Item of Expenditure Nature of Business Value Quarter 3 (October - December)

Expenditure (Rs.)

Total Net

1 100% -

2 100% -

3 Entertainment 20% -

4 Others 20% -

5 20% 20,000 20,000

6 20% 752,916 752,916

7 Employees’ welfare (See Note 9) 20% 56,221 56,221

8 5% 517,012 517,012

9 Use of hotel, boarding and lodging facilities 5% -

10 Others 20% 133,469 133,469

11 Others 20% -

Less : Exemp

tFree or concessional ticket provided by employer for private journeys of its employees or their family members (See Note 5)Employer’s contribution to superannuation fund

Provision of hospitality of every kind by the employer to any person (See Note 6)Conference including expenditure on conveyance, tour and travel hotel, or boarding and lodging (See Note 7)Sales promotion including publicity (See Note 8)

Conveyance, tour and travel (including foreign travel)

Manufacture/Production of

Pharmaceuticals

Manufacture/Production of

Pharmaceuticals

Repair, running (including fuel), maintenance of motor cars and depreciation thereon

Repair, running (including fuel), maintenance of aircrafts and depreciation thereon

12 20% 72,443 72,443

13 20% -

14 Festival celebrations 50% -

15 Use of health club and similar facilities. 50% -

16 Use of other club facilities 50% -

17 Gifts 50% -

18 Scholarships 50% -

Total Fringe Benefits

Fringe Benefits Tax 30%Add: Surcharge 10.0%Total

Add: Education Cess 3%

Total FBT Payable

Use of telephone including Mobile Phone excluding Leased Lines

Maintenance of guest house other than accommodation used for training purposes

Quarter 3 (October - December)

Value of FB

(Rs.)

-

-

-

-

4,000

150,583

11,244

25,851

-

26,694

-

14,489

-

-

-

-

-

-

232,860.40

69,858.126,985.8176,843.932,305.32

79,149.25

Name of Employer :

Financial Year : 2007- 2008

Status of Employer : Domestic Company

Nature of Business :

S.No. Item of Expenditure Nature of Business Value Quarter 4 (January - March)

Expenditure (Rs.) Value of FB

Total Net (Rs.)

1 100% - -

2 100% - -

3 Entertainment 20% - -

4 Others 20% - -

5 20% 6,000 6,000 1,200

6 20% 159,451 159,451 31,890

7 Employees’ welfare (See Note 9) 20% 53,487 53,487 10,697

8 5% 838,292 838,292 41,915

9 Use of hotel, boarding and lodging facilities 5% - -

10 Others 20% 122,411 122,411 24,482

11 Others 20% - -

12 20% 107,934 107,934 21,587

Less : Exempt

Free or concessional ticket provided by employer for private journeys of its employees or their family members (See Note 5)Employer’s contribution to superannuation fund

Provision of hospitality of every kind by the employer to any person (See Note 6)Conference including expenditure on conveyance, tour and travel hotel, or boarding and lodging (See Note 7)Sales promotion including publicity (See Note 8)

Conveyance, tour and travel (including foreign travel)

Manufacture/Production of

Pharmaceuticals

Manufacture/Production of

Pharmaceuticals

Repair, running (including fuel), maintenance of motor cars and depreciation thereon

Repair, running (including fuel), maintenance of aircrafts and depreciation thereonUse of telephone including Mobile Phone excluding Leased Lines

13 20% - -

14 Festival celebrations 50% - -

15 Use of health club and similar facilities. 50% - -

16 Use of other club facilities 50% - -

17 Gifts to Customers 50% - -

18 Scholarships 50% - -

Total Fringe Benefits 131,771.20

Fringe Benefits Tax 30% 39,531.36Add: Surcharge 10.0% 3,953.14Total 43,484.50Add: Education Cess 3% 1,304.53

Total FBT Payable 44,789.03

Maintenance of guest house other than accommodation used for training purposes

Name of Employer :

Financial Year : 2007-2008

Status of Employer : Domestic Company

Nature of Business :

S.No. Item of Expenditure Nature of Business Value Total (April - March) 2007- 08

Expenditure (Rs.)

Total Net

1 100% - - -

2 100% - - -

3 Entertainment 20% - - -

4 Others 20% - - -

5 20% 26,000 - 26,000

6 20% 1,329,723 - 1,329,723

7 Employees’ welfare (See Note 9) 20% 230,722 - 230,722

8 5% 1,947,169 - 1,947,169

9 Use of hotel, boarding and lodging facilities 5% - - -

10 Others 20% 545,978 - 545,978

11 Others 20% - - -

12 20% 289,766 - 289,766

Less : Exemp

tFree or concessional ticket provided by employer for private journeys of its employees or their family members (See Note 5)Employer’s contribution to superannuation fund

Provision of hospitality of every kind by the employer to any person (See Note 6)Conference including expenditure on conveyance, tour and travel hotel, or boarding and lodging (See Note 7)Sales promotion including publicity (See Note 8)

Conveyance, tour and travel (including foreign travel)

Manufacture/Production of

Pharmaceuticals

Manufacture/Production of

Pharmaceuticals

Repair, running (including fuel), maintenance of motor cars and depreciation thereon

Repair, running (including fuel), maintenance of aircrafts and depreciation thereonUse of telephone including Mobile Phone excluding Leased Lines

13 20% - - -

14 Festival celebrations 50% - - -

15 Use of health club and similar facilities. 50% - - -

16 Use of other club facilities 50% - - -

17 Gifts 50% - - -

18 Scholarships 50% - - -

Total Fringe Benefits

Fringe Benefits Tax 30%

Add: Surcharge 10.0%

Total

3%

Total FBT Payable

Maintenance of guest house other than accommodation used for training purposes

Add: Education Cess

Total (April - March) 2007- 08

Value of FB

(Rs.)

-

-

-

-

5,200

265,945

46,144

97,358

-

109,196

-

57,953

-

-

-

-

-

-

581,796

174,538.88

17,453.89

191,992.76

5,759.78

197,752.55

ADVANCE FRINGE BENEFIT TAX SCHEDULE

Total Tax as per Consolidation Sheet: 197,753

PARTICULARS % PAYABLE PAID DIFFERENCE

Payable upto 15th July, 2007 15% 29,663 56500 (26,837)Payable upto 15th October, 2007 30% 59,326 55000 4,326 Payable upto 15th Jan, 2008 30% 59,326 60000 (674)Payable upto 15th April 2008 25% 49,438 70000 (20,562)

TOTAL 100% 197,753 241,500 (43,747)

DETAILS OF PAYMENT

PARTICULARS

Quarter IQuarter IIQuarter III

Quarter IV

Working Notes:a. Fill in amount paid as FBT advance in Column E - (PAID).b. Fill in details of payment.

BSR CODE

DATE OF PAYMENT

SL. NO. OF

CHALLANCHEQUE

NO.